Individual provider Active NPI

Griselda Mbong Cheng-Akwa, ARNP

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1417412065
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012854 Issued in KY
Practice address
553 Glen Arvin Ave
Lexington, KY 40508-1069
Phone
(859) 420-4668
NPI assigned
Feb 7, 2019
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012854 KY Primary

Addresses

Primary practice location

553 Glen Arvin Ave
Lexington, KY 40508-1069

Mailing address

553 Glen Arvin Ave
Lexington, KY 40508-1069
Phone (859) 420-4668

Other practice location 1

60 Bryan Blvd
Corbin, KY 40701-2779
Phone (606) 528-1172

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gchengakwa95625@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425001428 KY Practitioner - Nurse Practitioner 4880936723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1700 Nicholasville Rd
Lexington, KY 40503-1431

3000 Baptist Health Blvd
Lexington, KY 40509-8742

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davanand Doodnauth,M.D., PSC CurrentSince Apr 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2019 Accepting new patients

Locations

60 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-3021

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Interoperability endpoints

  • Direct secure messaging: gchengakwa95625@bhkydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1417412065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 GLEN ARVIN AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081069",
            "telephone_number": "859-420-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 GLEN ARVIN AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081069",
            "telephone_number": "859-420-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Bryan Blvd",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012779",
            "country_code": "US",
            "telephone_number": "606-528-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG-AKWA",
        "first_name": "GRISELDA",
        "middle_name": "MBONG",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gchengakwa95625@bhkydirect.com",
            "affiliation": "N",
            "address_1": "60 Bryan Blvd",
            "city": "Corbin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407012779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.